Gastric teratoma presenting as gastrointestinal bleeding in a neonate: a case report and review of literature.
- 1Department of Pediatric Surgery, Kanti Children's Hospital, Maharajgunj, Kathmandu 44600, Nepal.
Abstract
Gastric teratoma accounts for ˂1% of pediatric teratomas and typically presents as an abdominal mass, distension, or vomiting, making gastrointestinal bleeding an unusual presentation. A 6-week-old male infant presented with black tarry stools since birth, non-bilious vomiting, and severe anemia requiring four packed red blood cell transfusions before referral. Examination revealed a large supraumbilical mass, and contrast-enhanced computed tomography showed a heterogeneous solid-cystic lesion with calcification abutting the greater curvature of the stomach, suggesting a gastric teratoma preoperatively. During laparotomy, an exophytic intragastric mass was excised with primary gastric repair. Histopathology confirmed a mature teratoma. Melena resolved by postoperative day five, and the infant was well at 1-month follow-up. This case adds to the limited literature on gastric teratoma presenting with gastrointestinal bleeding rather than a mass, and reinforces complete surgical excision as curative.
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BibTeX
@article{devkota2026gastric,
title = {{Gastric teratoma presenting as gastrointestinal bleeding in a neonate: a case report and review of literature.}},
author = {Deekshya Devkota and Suyog Simkhada and Sukriti Shrestha and Suman B Adhikari and Bal M Basnet and Dinesh Bade},
journal = {Journal of surgical case reports},
year = {2026},
month = oct,
doi = {10.1093/jscr/rjag969},
url = {https://europepmc.org/article/MED/42948797},
note = {CC BY},
}
RIS
TY - JOUR
TI - Gastric teratoma presenting as gastrointestinal bleeding in a neonate: a case report and review of literature.
AU - Deekshya Devkota
AU - Suyog Simkhada
AU - Sukriti Shrestha
AU - Suman B Adhikari
AU - Bal M Basnet
AU - Dinesh Bade
PY - 2026
DA - 2026/10/27
JO - Journal of surgical case reports
DO - 10.1093/jscr/rjag969
UR - https://europepmc.org/article/MED/42948797
AB - Gastric teratoma accounts for ˂1% of pediatric teratomas and typically presents as an abdominal mass, distension, or vomiting, making gastrointestinal bleeding an unusual presentation. A 6-week-old male infant presented with black tarry stools since birth, non-bilious vomiting, and severe anemia requiring four packed red blood cell transfusions before referral. Examination revealed a large supraumbilical mass, and contrast-enhanced computed tomography showed a heterogeneous solid-cystic lesion with calcification abutting the greater curvature of the stomach, suggesting a gastric teratoma preoperatively. During laparotomy, an exophytic intragastric mass was excised with primary gastric repair. Histopathology confirmed a mature teratoma. Melena resolved by postoperative day five, and the infant was well at 1-month follow-up. This case adds to the limited literature on gastric teratoma presenting with gastrointestinal bleeding rather than a mass, and reinforces complete surgical excision as curative.
SN - 2042-8812
ER -